基于CBCT的证据与微植入物辅助/骨扩张器 (MARPE/MSE) 的替代扩张-收缩 (AEC) 协议:范围审查
Rahma Hazim Alhussainy1, Norma Ab Rahman2, Abbas AlZubaidi3
1School of Dental Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia.
Oral radiology
|February 9, 2026
概括
微植入器辅助快速口腔扩张 (MARPE) 和大骨扩张器 (MSE) 对于非手术大扩张是有效的. 替代膨胀-收缩 (AEC/ALT-RAMEC) 循环可以通过减少牙倾斜来优化结果.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 面外科手术 面外科手术
- 生物医学工程 生物医学工程
背景情况:
- 微植入器辅助快速口腔扩张 (MARPE) 和大骨扩张器 (MSE) 能够在老年人中进行非手术大扩张.
- 形光束CT (CBCT) 证实了MARPE/MSE在青少年和成年人的骨影响.
- 与MARPE/MSE交替膨胀-收缩 (AEC/ALT-RAMEC) 周期的好处尚未得到充分证明.
研究的目的:
- 审查CBCT在MARPE/MSE之后对骨, sutural,dentoalveolar和体积变化的发现.
- 专门分析了与MARPE/MSE结合AEC/ALT-RAMEC协议的研究.
- 为了评估12岁及以上患者的变化.
主要方法:
- 在PubMed/MEDLINE,Scopus,Web of Science和Cochrane (2015年8月2025年) 的系统文献搜索.
- 包括的研究评估了MARPE/MSE后的CBCT结果,有或没有AEC/ALT-RAMEC.
- 根据PRISMA-ScR指南进行了数据提取和叙事合成.
主要成果:
- 马尔佩/MSE始终表现出中侧开口, circummaxillary 变化和横向大生长与最小的牙倾斜.
- 结合AEC/ALT-RAMEC与MARPE/MSE的有限证据表明,牙的倾斜减少,牙上的线扩大.
- 一项针对年轻成年人的随机对照试验显示,AEC/ALT-RAMEC与传统MARPE相比,AEC/ALT-RAMEC的横向总增益没有增加.
结论:
- CBCT的证据强烈支持MARPE/MSE用于非手术扩张.
- AEC/ALT-RAMEC显示了提高生物机械效率的潜力,特别是在控制牙倾斜方面.
- 需要使用标准化协议和长期结果数据进行进一步的研究,以充分评估AEC/ALT-RAMEC与MARPE/MSE相结合的结果.
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